FORM 1023-EZ for WIN 4LIFE INC

Field Data
EIN 47-1323945
Case Number EO-2014332-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WIN 4LIFE INC
Organization’s Mailing Address 3210 NORTH ROOSEVELT ST
City PENSACOLA
State FL
ZIP 32503
Accounting period End 12
Primary contact name CYNTHIA MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RUTH STOKES
PRESIDENT/CEO
486 LILLIE AND REBECCA LANE
MOUNT PLEASANT SC 29464

Officer/Director/Trustee Two

CYNTHIA MILLER
VICE PRESIDENT/EXECUTIVE DIRECTOR
3210 NORTH ROOSEVELT ST
PENSACOLA FL 32503

Officer/Director/Trustee Three

BRENDA RILEY
TREASURE/CFO
2317 SILVERSIDE LOOP
PENSACOLA FL 32503

Officer/Director/Trustee Four

JACQUELINE JORDAN
PROGRAM DIRECTOR
2259 EXCHANGE PLACE
CONYERS GA 30013

Officer/Director/Trustee Five

TANISHA WHITE
PROGRAM ANALYST
2007 HADDON PLACE
MCDONOUGH GA 30253

Organization’s website WWW.WINGIRLS4LIFE.COM
Organization’s email WIN4LIFEINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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